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KIMBERLY J MILLER PSYD INC
NPI 1447941026
Psychologist - Clinical in Venice, FL

Active since May 16, 2023
1505 TAMIAMI TRL S STE 401A, VENICE, FL 34285(941) 504-6980 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly J Miller Psyd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY J MILLER PSYD INC (NPI 1447941026) is a healthcare organization registered as a clinical in Venice, Florida and active in the NPI registry since May 2023. The organization lists Kimberly J Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1447941026
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKIMBERLY J MILLER PSYD INC
Location Address1505 TAMIAMI TRL S STE 401AVenice, FL 34285-5562
Mailing Address1328 Loma Linda CtSarasota, FL 34239-2426 · (941) 504-6980
Phone(941) 504-6980
Organization SubpartNo
Authorized OfficialKimberly J MillerOwner · (941) 504-6980
Enumeration DateMay 16, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1447941026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1505 TAMIAMI TRL S STE 401A, Venice, FL 34285
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly J Miller Psyd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kimberly J Miller Psyd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Miller, PSYD
Clinical Psychologist
NPI 1285325852
1505 TAMIAMI TRL S STE 401A
Venice, FL 34285
(941) 504-6980
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly J Miller Psyd Inc's NPI number?

The NPI number for Kimberly J Miller Psyd Inc is 1447941026. It was assigned to this organization in the NPPES registry on May 16, 2023.

Where is Kimberly J Miller Psyd Inc located?

Kimberly J Miller Psyd Inc is located at 1505 Tamiami Trl S Ste 401A, Venice, FL 34285. The listed phone number is (941) 504-6980.

What is Kimberly J Miller Psyd Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kimberly J Miller Psyd Inc enrolled in Medicare?

Yes. Kimberly J Miller Psyd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kimberly J Miller Psyd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kimberly J Miller Psyd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly J Miller Psyd Inc was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.